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Taste of Judaism

Please complete the form below to register for the 3 part course.
Thursday, June 4, 11, 18, 2020. Classes will be held by Zoom. There is no charge but donations accepted. Click submit to complete the process. Thank you!

* Name

First and Last Name

* Home Address

* City & Zip

* Email address

Cell Phone

* Gender

* Age

* Occupation

How did you find out about this course:

* Will you be taking this course with anyone else?

Name & Relationship

Please explain what your purpose is for taking the course?

Tell us a little bit about yourself

Do you have any Jewish background; friends, genealogy, education?

Voluntary donation $

Account Details

Enter your name and e-mail address for your confirmation:

*E-mail

*First Name

*Last Name

Payment Information

Account

Credit Card

Name on Card

Card Type

Card Number

Expiration Date

Card Verification Number

Address Line 1

City

State/Province

Zip

Comments

Increase the amount by 3% to cover credit card fees. Please select YES to increase your payment.

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